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Annals of Vascular Surgery

Olga A Novikova, Pavel P Laktionov, Andrey A Karpenko
BACKGROUND: Objective of this article is to review cellular mechanism of atherosclerosis development. The pathogenesis of atherosclerosis comprises a sequence of biological events leading to buildup of a dense or loose atheromatous plaque. METHODS: In this review, we tried to attempt to analyze the cellular mechanisms underlying atherosclerosis development, including the roles of monocytes/macrophages and smooth muscle cells in formation of stable/unstable atheromatous plaques...
July 13, 2018: Annals of Vascular Surgery
Anuja Mitra, Deborah Pencharz, Meryl Davis, Thomas Wagner
OBJECTIVE: To determine the diagnostic value of 18F-fluorodeoxyglucose positron emission/ computed tomography (FDG PET/CT) in detecting prosthetic aortic graft infection (AGI). METHODS: Twenty-one patients with prosthetic grafts for abdominal aortic aneurysms underwent FDG PET/CT scans for suspected graft infection over a 15-month period. Images were evaluated for tracer pattern and grade of FDG uptake in addition to measuring the maximal standardised uptake value (SUVmax)...
July 13, 2018: Annals of Vascular Surgery
Zielinski Maciej, Kramek Jakub, Inston Nicholas, Gabriel Marcin, Krasinski Zbigniew
Post traumatic reconstruction of large lower extremity veins is a challenging and rarely performed procedure. We describe a case of 18-year old male traffic accident victim, presenting with extensive venous injury of the right inguinal region including external iliac vein (EIV) and common femoral vein (CFV) requiring immediate ligation. Due to life-threatening phlegmasia cerulea dolens (PCD) venous reconstruction was successfully performed using a femoral vein (FV) interposition autograft from the contralateral lower limb...
July 13, 2018: Annals of Vascular Surgery
Emilia Krol, Sarah Ongstad, Todd W Gensler, Jean M Panneton
In recent years, endovascular procedures have become first line therapy for peripheral arterial disease. As a result, an increased number of patients received stent grafts to treat their persistent superficial femoral artery (SFA) lesions. Although the risk of stent graft infection in that location exists, it is exceptionally rare. Successful management of this condition requires removal of the infected stent graft in combination with appropriate antibiotic therapy and debridement of necrotic tissue, as well as revascularization, with avoidance of prosthetic material...
July 13, 2018: Annals of Vascular Surgery
Rami O Tadros, John Power, Sean P Wengerter, C Y Maximilian Png, Michael L Marin, Peter L Faries, James F McKinsey
This series describes an innovative technique to deploy iliac branched endoprostheses (IBE) in patients with preexisting endovascular aneurysm repair (EVAR). It demonstrates an alternative approach that may be preferred when brachial access is anatomically challenging or when access site complications are of concern. We detail a technique that uses transfemoral access to bring IBE device components up-and-over an infrarenal endograft bifurcation and into proper position. This series suggests that endovascular specialists should consider the advantages and disadvantages of a transfemoral approach when selecting the best method of repairing a patient's iliac artery aneurysm after prior EVAR...
July 13, 2018: Annals of Vascular Surgery
Sébastien Perou, Augustin Pirvu, Jessica Morel, Jean-Luc Magne, Amandine Elie, Rafaelle Spear
OBJECTIVE: We evaluated the results of femoral bifurcation endarterectomy using the eversion technique with transection of the superficial femoral artery (FBEE). METHODS: We included all patients from January 2006 to December 2015 who underwent a femoral revascularization using the eversion technique, with or without antegrade or retrograde revascularization. Data were retrospectively collected. Primary and primary assisted patency of the femoral bifurcation were analyzed...
July 13, 2018: Annals of Vascular Surgery
Thomas W Bobka, Daniel C Sukato, Nikita V Kohli, Berhane Worku, Iosif M Gulkarov, Marcus D' Ayala
Tracheoarterial fistula is a rare complication of tracheostomy with an incidence of less than 1%. Survival of this disease entity is low and likely results from a major open operation in a high risk surgical group. In our review of the literature, a tracheo-innominate artery fistula is the most commonly reported arterial fistula. However, we present a rare case of tracheo-left subclavian artery fistula. We have identified one previous case of tracheo-left subclavian fistula as a source of massive tracheal bleeding...
July 13, 2018: Annals of Vascular Surgery
Julien Bernatchez, Valerie Gaudreault, Gabriel Vincent, Pascal Rheaume
Myxomas are the most common primary cardiac neoplasms. Multimodality imaging is essential for proper diagnosis and treatment. The cardiovascular manifestations depend on myxomas location and size. Intracardiac obstruction, constitutional symptoms and infected myxomas have been described. Though uncommon, myxomas should also be included in the diagnosis of peripheral embolization to the extremities or visceral aorta. We hereby present a rare case of left atrial myxoma with multiple systemic emboli and a review of the associated literature...
July 13, 2018: Annals of Vascular Surgery
Ahmed Mohamed, Mathew Bennett, Luis Gomez, Ethan Massingill, Linda Le, Eric Peden, Carlos F Bechara
INTRODUCTION: Despite the lower cost, improved early survival, and preservation of the remaining kidney function, peritoneal dialysis (PD) is used by only 8.8% of the dialysis population in the USA. Intraabdominal adhesions reported in 70-90% of patients with prior abdominal surgery (PAS) reduce the peritoneal surface area and may increase the intra- and postoperative morbidity. The objective of this study is to evaluate the outcomes of laparoscopic peritoneal dialysis (LPD) catheter placement in patients with and without (PAS)...
July 13, 2018: Annals of Vascular Surgery
Irene Baldi, Mirko Belcastro, Maja Rossi, Armando Rossi, Chiara Minacci, Armando Natale
Rosai-Dorfman (-Destombes) disease (RDDD) is a rare idiopathic disorder of histiocyte proliferation, usually involving lymph node stations. The most common clinical finding is a bilateral cervical lymphadenopathy, fever and weight loss. Arterial or venous structures are notably not involved. We hereby present a case of a 78- year-old male Caucasian, presenting with symptoms of progressive arterial insufficiency and right lower-limb edema, along with a non- pulsatile mass at the middle third of the thigh. Initial diagnostic hypothesis was a superficial femoral artery aneurysm thrombosis with a secondary post-compressive superficial femoral vein thrombosis...
July 13, 2018: Annals of Vascular Surgery
Yongle Wang, Peng Ai, Gonghao Zhan, Bangli Shen
Injury to the lumbar artery during percutaneous endoscopic lumbar discectomy is a very severe complication and only rarely reported. We present a 64-year-old patient with an injury to the right third lumbar artery during percutaneous endoscopic lumbar discectomy that was successfully treated with intraoperative angiography and coil embolization. To our knowledge, this is the first report of the use of intraoperative angiography and coil embolization to treat a lumbar artery that had been lacerated during percutaneous endoscopic lumbar discectomy...
July 13, 2018: Annals of Vascular Surgery
Jason K Wagner, Sandra Truong, Rabih Chaer, Ellen Dillavou, Eric Hager, Theodore Yuo, Michel Makaroun, Efthymios D Avgerinos
INTRODUCTION: No independent reviews, with mid-term follow-up, of current experience with immediate-access arteriovenous grafts (IAAVGs) exist. The goal of this project was to assess the real-world performance of two different IAAVGs over a two-year period at a large tertiary referral center. METHODS: Between January 2014 and April 2016 all consecutive patients who underwent placement of Acuseal (Gore) or Flixine (Maquet) IAAVGs were identified for retrospective analysis from the electronic medical record and VQI database...
July 13, 2018: Annals of Vascular Surgery
Paolo Perini, Claudio Bianchini Massoni, Matteo Azzarone, Alessandro Ucci, Giulia Rossi, Enrico Gallitto, Antonio Freyrie
OBJECTIVES: The detection of intraprosthetic thrombus (IPT) deposits is a common finding during follow-up for endovascular abdominal aneurysm repair (EVAR); however, its clinical significance is still debated. The aim of this study was to determine if IPT represents a risk factor for thromboembolic events (TE; endograft or limb thrombosis, or distal embolization) after EVAR. MATERIALS AND METHODS: A systematic review of English literature was undertaken until November 2017...
July 13, 2018: Annals of Vascular Surgery
Kotaro Suehiro, Noriyasu Morikage, Koshiro Ueda, Makoto Samura, Yuriko Takeuchi, Takashi Nagase, Takahiro Mizoguchi, Kimikazu Hamano
PURPOSE: To study the impact of aggressive decongestion in limbs with lymphedema without subcutaneous echo-free space in subcutaneous tissue ultrasonography. PROCEDURES: In 13 patients with arm lymphedema (13 arms) and 16 patients with leg lymphedema (18 legs) without subcutaneous echo-free space, an aggressive decongestion was performed as the first phase of complex decongestive therapy. Measurements of circumference and calculation of limb volume were performed before and after the treatment...
July 13, 2018: Annals of Vascular Surgery
Masami Shingaki, Kiyofumi Morishita, Toshio Baba, Tsuyoshi Shibata, Kohei Narayama
PURPOSE: Often, we experience cases of aneurysm shrinkage and no aneurysm shrinkage after successful endovascular aortic aneurysm repair (EVAR), without postoperative endoleaks. We studied these cases to ascertain the predictive factors for aneurysm shrinkage. METHODS: From 2007 to 2014, we selected 255 cases that comprised aneurysm shrinkage (> 4 mm) and no-shrinkage cases (shrinkage from 0 to 4 mm). Excluding 36 cases of endoleaks, 43 cases without one-year follow-up CT scan, and 3 cases of aortic dissection, we assessed 93 cases of aneurysm shrinkage (S group) and 80 cases of no aneurysm shrinkage (N group) at one-year follow-up...
July 13, 2018: Annals of Vascular Surgery
Tazo S Inui, Andrew C Picel, Andrew Barleben, John S Lane
The persistent sciatic artery (PSA) is a remnant of the fetal circulatory system that is preserved in less than 0.1% of the population. Up to 60% of patients with this vascular anomaly will go on to development of a PSA aneurysm (PSAA), which can produce a variety of symptoms including neuropathy, claudication, and acute limb-threatening ischemia. Historical management is by open operation and interposition grafting, which can be highly morbid. We describe successful management of a large, symptomatic PSAA by endovascular stent grafting with intermediate term follow-up...
June 25, 2018: Annals of Vascular Surgery
Paul E Davis, John Phillips, Raghu Kolluri
BACKGROUND: Chronic venous insufficiency (CVI) is a widely prevalent condition. Saphenous venous reflux is the most common underlying pathology that leads to CVI. Endovenous thermal ablations (ETA) are the current gold standard. However, some patients present with some unique challenges making ETA less ideal. Nonthermal nontumescent therapies could be considered as alternative therapy in these patients. METHODS: We performed a retrospective review of treatment effects with United States Food and Drug Administration-approved polidocanol endovenous microfoam (PEM; Varithena® 1%) on venous symptomology in 10 (n = 10) C3-C6 patients with CVI and concomitant complex disease/pathology that limited the use of ETA...
June 18, 2018: Annals of Vascular Surgery
S Ooms, B Nemeth, J J Wever, B Knippenberg, H van Overhagen, R G Statius van Eps
OBJECTIVES: Acute Kidney Injury (AKI) after open aortic repair is subject to multiple patient- and operation-related variables. Hostile neck morphology in open aneurysm repair is thought to contribute to this AKI risk post-operatively. The aim of this study was to evaluate if large neck atheroma is a possible risk factor in the postoperative development of AKI. METHODS: Retrospectively 137 patients were evaluated for neck atheroma and AKI incidence. Atheroma load measurements were performed by two different techniques...
June 14, 2018: Annals of Vascular Surgery
Mathew Wooster, Paul Armstrong, Martin Back
OBJECTIVE: Maintenance of pelvic circulation has been connected to reduced risks of ischemic colitis, buttock claudication, erectile dysfunction, and spinal cord ischemia during the treatment of extensive aorto-iliac aneurysmal disease. We evaluate the mid to late follow up of a cohort of patients treated using one preservation technique, the endovascular external (EIA) to internal (IIA) iliac artery bypass. METHODS: All patients undergoing elective retrograde EIA-IIA endovascular bypass at a single institution were retrospectively reviewed over a ten-year period from 2006-2016...
June 13, 2018: Annals of Vascular Surgery
O William Brown
No abstract text is available yet for this article.
June 13, 2018: Annals of Vascular Surgery
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